Provider Demographics
NPI:1215425764
Name:RATNER, HOWARD E
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:E
Last Name:RATNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 RALPH RD
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:CT
Mailing Address - Zip Code:06524-3050
Mailing Address - Country:US
Mailing Address - Phone:415-606-0266
Mailing Address - Fax:
Practice Address - Street 1:340 WHITNEY AVE STE 3
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-2317
Practice Address - Country:US
Practice Address - Phone:203-885-7405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1986106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist